Pain in the sacrum

Comments Off on Pain in the sacrum
CME

General Description
The sacrum is a bony formation consisting of five immovably connected vertebrae that connects the lumbar spine, coccyx and pelvic bones. The sacrum is pyramidal in shape, with the base facing upward and forming a joint with the fifth lumbar vertebra, the sides forming the sacroiliac joints, and the apex looking downward and connecting to the coccyx. The front surface of the sacrum is concave and faces into the pelvic cavity, while the back faces outward and curved. The sacrum plays a significant role in childbirth, so in women it is shorter, wider and less curved.

The main causes of sacral pain are
Osteochondrosis of the lumbar spine;
Herniated intervertebral discs;
Sacroiliitis – inflammation of the sacroiliac joint;
Trauma and contusions of the sacrum and coccyx;
Neoplasms;
Gynecological diseases;
Postoperative pain.
Diagnosis of pain in the sacrum
X-ray (allows you to assess the condition of bone structures, joints, articular cartilage in the width of the joint gap)
CT / MRI (allows a more detailed assessment of the condition of bone structures and joints in cases where X-rays are insufficient, MRI visualizes soft tissue)
Laboratory diagnostics (reveals pathological changes in blood, including markers of rheumatic diseases)
Ultrasound (diagnosis of abdominal and pelvic organs)
Pain treatment in the sacrum in FNSC
Treatment of pain in the sacrum is aimed at diagnosing and eliminating the cause of pain. This is usually a long-term process, so parallel symptomatic treatment is carried out, that is, pain relief of the joint.

The approach to the treatment of sacroiliac pain is complex and involves the work of a multidisciplinary team of doctors, including an orthopedic trauma surgeon, rehabilitation therapist, pain management specialist, physiotherapist and other specialists.

Key methods of treating sacroiliac pain
Conservative therapy (the selection of effective and safe regimen of pain medications)
Minimally invasive techniques (therapeutic diagnostic blocks, radiofrequency denervation)
surgical techniques
Assistive techniques (therapeutic exercise, physiotherapy, manual therapy)
Conservative therapy
An individual scheme of analgesic therapy is chosen for each patient, proceeding from the causes of disease, the nature of pain, possible contraindications and drug interactions. Throughout treatment, the conservative therapy scheme is adjusted depending on the clinical situation.